Supporting accurate Hierarchical Condition Category (HCC) capture is essential to success under the growing number of risk-adjusted payment models. With their strong knowledge of coding and documentation guidelines and insight into emerging trends, coders are a key part of that strategy.
This week’s Medicare updates include coding and payment information for the Johnson & Johnson COVID-19 vaccine, an OIG report on trends toward more expensive inpatient hospital stays, an MLN article on billing for services when Medicare is a secondary payer, and more!
Regular monitoring and internal auditing are critical to ensure compliance throughout the revenue cycle and protect revenue integrity. Consider the different strategies that can be applied to documentation and chart audits, coding audits, and more.
This week’s Medicare updates include new items added to the OIG work plan, a download link for HCPCS codes which are excepted from the lab date of service policy, a new program instruction sheet for monoclonal antibodies used to treat COVID-19, and more!
The recent updates to Stark Law and the Anti-Kickback Statute ease many compliance concerns but introduce some new complexities and compliance pitfalls. Gain a deeper understanding of the changes and which arrangements may be affected.
